Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 505326

Heartwood Extended Healthcare

82 federal citations on record , and 4 federal enforcement actions totaling $293,221.

Record summary

Federal record · Q1 2026
82
Total citations
81
Last 3 years
5
Actual harm+
4
Federal penalties
$293,221
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care25 Care Planning17 Resident Rights15 Infection Control9 Abuse & Neglect5

Most common F-tags at this facility

F6844 F6894 F6413 F6573 F6973

Citation history

82 on record
SurveyF-TagViolationSeveritySource
Jun 17, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Feb 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Feb 13, 2025F880Provide and implement an infection prevention and control program.DStandard
Feb 13, 2025F791Provide or obtain dental services for each resident.DStandard
Feb 13, 2025F758Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.DStandard
Feb 13, 2025F732Post nurse staffing information every day.CStandard
Feb 13, 2025F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Feb 13, 2025F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Feb 13, 2025F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
Feb 13, 2025F692Provide enough food/fluids to maintain a resident's health.DStandard
Feb 13, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Feb 13, 2025F688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.DStandard
Feb 13, 2025F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard
Feb 13, 2025F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.DStandard
Feb 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Feb 13, 2025F641Ensure each resident receives an accurate assessment.DStandard
Feb 13, 2025F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.DStandard
Feb 13, 2025F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Feb 13, 2025F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DStandard
Feb 13, 2025F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DStandard
Feb 13, 2025F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
Oct 29, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Oct 29, 2024F582Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.DComplaint
Apr 12, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EComplaint
Apr 12, 2024F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.DStandard
Apr 12, 2024F883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard
Apr 12, 2024F881Implement a program that monitors antibiotic use.EStandard
Apr 12, 2024F880Provide and implement an infection prevention and control program.EStandard
Apr 12, 2024F848Provide a neutral and fair arbitration process and agree to arbitrator and venue.EStandard
Apr 12, 2024F847Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse.EStandard
Apr 12, 2024F803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.EStandard
Apr 12, 2024F800Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.EStandard
Apr 12, 2024F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard
Apr 12, 2024F697Provide safe, appropriate pain management for a resident who requires such services.DStandard
Apr 12, 2024F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DStandard
Apr 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
Apr 12, 2024F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GStandard
Apr 12, 2024F679Provide activities to meet all resident's needs.DStandard
Apr 12, 2024F677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard
Apr 12, 2024F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
Apr 12, 2024F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DStandard
Apr 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EStandard
Apr 12, 2024F641Ensure each resident receives an accurate assessment.EStandard
Apr 12, 2024F637Assess the resident when there is a significant change in conditionDStandard
Apr 12, 2024F583Keep residents' personal and medical records private and confidential.DStandard
Apr 12, 2024F567Honor the resident's right to manage his or her financial affairs.DStandard
Apr 12, 2024F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EComplaint
Mar 27, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Dec 13, 2023F842Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.EComplaint
Dec 13, 2023F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.DComplaint
Dec 13, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint
Dec 13, 2023F661Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.FComplaint
Dec 13, 2023F660Plan the resident's discharge to meet the resident's goals and needs.FComplaint
Dec 13, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EComplaint
Dec 13, 2023F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint
Oct 25, 2023F697Provide safe, appropriate pain management for a resident who requires such services.GComplaint
Oct 25, 2023F626Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.GComplaint
Oct 25, 2023F625Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.EComplaint
Sep 7, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 12, 2023F887Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.EStandard
May 12, 2023F883Develop and implement policies and procedures for flu and pneumonia vaccinations.EStandard
May 12, 2023F881Implement a program that monitors antibiotic use.EStandard
May 12, 2023F880Provide and implement an infection prevention and control program.EStandard
May 12, 2023F851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.EStandard
May 12, 2023F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.FStandard
May 12, 2023F761Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.EStandard
May 12, 2023F759Ensure medication error rates are not 5 percent or greater.DStandard
May 12, 2023F695Provide safe and appropriate respiratory care for a resident when needed.DStandard
May 12, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DStandard
May 12, 2023F676Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.DStandard
May 12, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.EStandard
May 12, 2023F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard
May 12, 2023F645PASARR screening for Mental disorders or Intellectual DisabilitiesDStandard
May 12, 2023F641Ensure each resident receives an accurate assessment.DStandard
May 12, 2023F584Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.EStandard
May 12, 2023F574The resident has the right to receive notices in a format and a language he or she understands.FStandard
May 12, 2023F572Give residents a notice of rights, rules, services and charges.FStandard
May 12, 2023F552Ensure that residents are fully informed and understand their health status, care and treatments.DStandard
May 12, 2023F610Respond appropriately to all alleged violations.DComplaint
May 12, 2023F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
May 12, 2023F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.DComplaint
Apr 6, 2023F692Provide enough food/fluids to maintain a resident's health.DComplaint

Federal enforcement history

Federal regulators have imposed 4 enforcement actions against this facility, including 3 civil money penalties totaling $293,221 and 1 payment-denial actions spanning 30 days.

DateTypeFinePayment denial
Mar 27, 2024Fine$153,010—
Mar 27, 2024Payment Denial—Jun 27, 2024 · 30 days
Dec 13, 2023Fine$107,955—
Oct 25, 2023Fine$32,256—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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